Provider Demographics
NPI:1528560711
Name:NEW YORK CHIROPRACTIC AND PT PLLC
Entity Type:Organization
Organization Name:NEW YORK CHIROPRACTIC AND PT PLLC
Other - Org Name:NEW YORK CHIROPRACTIC SERVICES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOVNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-724-2486
Mailing Address - Street 1:39 W 29TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39 W 29TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4249
Practice Address - Country:US
Practice Address - Phone:646-770-0916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW YORK CHIROPRACTIC AND PT, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty